I have T2 diabetes (diagnosed 2010) which has been well controlled with a low carb diet and metformin.
I'm finding that the steroid premed is sending my BG levels through the roof. On infusion day, at 7pm after eating a tuna sandwich at 2pm, and walking around most of the intervening time, my blood sugar was 259. I was almost afraid to eat dinner. I woke up in the morning with a FBG of 199. These kinds of figures are just unheard of for me. My FBG is usually more like 108, for example. In earlier rounds, it seemed to go back to normal levels, that is normal for me, but on round 6 my readings remained steadily higher, like 140-165.
I'm beginning to wonder if I should possible take a little insulin for the duration. I've never done so, but I am adamantly opposed to the drugs that force your pancreas to produce more insulin: way to burn out your beta cells faster and become insulin dependent permanently!
Has anyone else coped with this problem?
F, 64 at DX CRC Stage IV (or "3 1/2" per Dana Farber consult, LOL)
3/17/18 blockage, emergency surgery, r hemicolectomy
11 of 25 nodes
5 of 5 mesentery nodes, matted
0.5 cm sub-capsular liver met removed
pT3 pN2b pM1
Neg CEA, neg BRAF, KRAS G12D, germline mut ATM
dMMR, MSI-H, Neg for Lynch
5/4/18 FOLFOX started
Added Neulasta 6/28/18
7/9/18 CT scans show no masses or enlarged nodes, 2mm indeterminate lung nodule